Provider Demographics
NPI:1336584895
Name:KHANZADA, NAVEEN SAMEER (MD)
Entity Type:Individual
Prefix:
First Name:NAVEEN
Middle Name:SAMEER
Last Name:KHANZADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD., MAILSTOP 4015
Mailing Address - Street 2:UNIV. OF KANSAS MED CENTER - PSYCHIATRY
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6400
Mailing Address - Fax:913-588-6414
Practice Address - Street 1:3901 RAINBOW BLVD., MAILSTOP 4015
Practice Address - Street 2:UNIV. OF KANSAS MED CENTER - PSYCHIATRY
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6400
Practice Address - Fax:913-588-6414
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-08075390200000X
KS04401492084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program